MAYA NELLUM
NPI 1043812423
Registered Nurse - Psychiatric/Mental Health in Little Rock, AR
Active since November 11, 2020
About Maya Nellum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYA NELLUM (NPI 1043812423) is an individual psychiatric/mental health provider in Little Rock, Arkansas, licensed in Arkansas (121613) and active in the NPI registry since November 2020.
NPPES Registry Identity
NPI1043812423
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMAYA NELLUM
Location Address6601 W 12TH STLittle Rock, AR 72204-1513
Mailing AddressPo Box 251970Little Rock, AR 72225-1970 · (501) 666-8686
Phone(501) 666-8686
Sole ProprietorNo
Enumeration DateNovember 11, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1043812423 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in AR · 121613
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 121613 (AR)
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 121613 (AR)
6601 W 12TH ST, Little Rock, AR 72204
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Clinical Child & Adolescent)
6601 W 12TH ST
LITTLE ROCK, AR 72204
LITTLE ROCK, AR 72204
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043812423, enumerated as an "individual" on November 11, 2020.
The provider is located at 6601 W 12TH ST LITTLE ROCK, AR 72204 and the phone number is (501) 666-8686.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.
